Coping with the Uncontrollable: The Use of General and Religious Coping by Caregivers to Spouses with Dementia

SUMMARY

Using a transactional model of stress and coping, we examined the general (i.e., Problem-Focused, Emotion-Focused) and religious (i.e., Self-Directing, Collaborative, Deferring) coping strategies used by 64 caregivers to spouses with dementia to cope with their most significant, albeit uncontrollable, caregiving hassle over a two-month period. With respect to general coping, we hypothesized that caregivers who used Emotion-Focused coping would demonstrate fewer Depressive Symptoms at Month 2 after controlling for Depressive Symptoms at Month 1. With respect to religious coping, we hypothesized that care-givers who used Deferring Coping would also demonstrate fewer Depressive Symptoms. Results revealed interesting patterns between caregivers' use of general and religious coping strategies. Contrary to our hypotheses, caregivers who used Emotion-Focused and Collaborative coping reported greater Depressive Symptoms. Implications for the empirical study of stress and coping and directions for future research are discussed.     

Coping with Stress, Coping with Violence: Links to Mental Health Outcomes Among At-risk Youth

Coping reactions to stressful events are important links between difficult experiences and the emergence of psychopathology. In this study we compared youths?? negative coping with stress in general to their negative coping with violence in particular, and utilized a person-centered analytic approach to examine how patterns of coping relate to various mental health outcomes. We utilized survey interview measures to collect data from a sample of 131 youth (ages 11?C14, 100?% ethnic minority) residing in an economically distressed metropolitan area of the northeast. We observed significant relations between youths?? tendencies to cope with stress and violence via externalized-internalized strategies (e.g., yelling to let off steam, crying) and their mental health symptoms. However, we generally did not observe relations between engagement in distancing coping strategies (e.g., making believe nothing happened) and any problematic outcomes. Negative coping does not appear be a monolithic construct uniformly associated with negative outcomes for youth. Distancing coping might represent an especially useful short-term coping response for youth living in socioeconomically distressed conditions from the standpoint of inhibiting symptom development.     

Coping with the Angry Patient

This patient is enacting two chronic maladaptive patterns. In one he alternates between the role of victim and abuser while inducing the therapist to play the counterrole. He tries to master the abuse he suffered passively as a child by becoming abusive with the therapist and having her experience what it feels like to be mistreated. My effort would be to interpret this pattern even while acknowledging and absorbing some degree of his anger. In a second pattern he acts like an angry, demanding child in an effort to extract nurturance and special treatment from the therapist. I would help him explore this posture in terms of his deprived background and its maladaptiveness in his current life. Finally, I present vignettes from my own practice to demonstrate how I work with patients' anger when it is expressed indirectly rather than in Mr. P's very direct manner.     

Coping with disturbances

Motion systems must cope with internal and external disturbances affecting the envisioned movement program. In science responses to disturbances are used to characterize system properties. Recently, evidence has been collected that self-stability due to the mechanical response of a system can greatly contribute to safe guarding proper operation of the system and to follow up an envisioned task. Here we review research in our laboratory on the kinematic response of standing subjects to sudden pulls inflicted by a motor, and the kinetics of runners crossing a track with a bump. We find that in both cases the first responses are dominated by system compliance. Thereby damage is avoided and the tasks are secured. Preparation to the observed disturbance does not seem to have the goal to compensate quickly but to enhance the scope of the reaction and its economy.     

Coping with bullying in the workplace

The purpose of the study was to investigate the 1-year prevalence of bullying in the form of repeated exposure to slander and/or nasty teasing in Danish workplaces, and to analyse whether respondents subjected to bullying use the same coping strategies as respondents who are not subjected to bullying. The results show that approximately 2% of the Danish employees are subjected to bullying at work. We compared the use of coping strategies in three groups: a non-exposed group, a somewhat exposed group, and a very exposed group (i.e., bullied). The results showed no linear association between the three groups, but a difference between being exposed and not exposed. The results seem to indicate that it is not necessarily the quantity of the negative acts that cause the change in behaviour but more the fact of being exposed to such acts.     

Coping with Work:

African-American women, who have faced the "double jeopardy" (Beale, 1970) of racism and sexism in the workforce, have had to develop coping strategies to enable their survival. African-Americans appear to use more diverse coping strategies than Caucasians (Barbarin, 1983; Gibson, 1982; Ramseur, 1989), as well as a more varied pool of informal helpers in their social networks and more flexible responses to stress (Gibson, 1982). Career counselors working with African-American women should be aware of decision-making factors other than individual preference, such as cultural norms and coping strategies necessary to survive in a discriminatory work environment. This paper examines the relationship between coping strategies used by African-American women and workplace realities, and makes recommendations for culturally sensitive career interventions with African-American women clients.     

Coping with condom embarrassment

This study assesses the embarrassment associated with purchasing, carrying, storing, using and disposing of condoms. It incorporates coping theory into the investigation of embarrassment by analysing the strategies individuals use to cope with embarrassment during condom purchase. The results of a survey show that individuals are embarrassed at various stages related to condom use. Purchasing condoms elicits the most embarrassment, followed by carrying and disposing, while using and storing are the least embarrassing. To cope with their embarrassment while purchasing condoms, people use multiple cognitive and behavioural coping strategies, with embarrassed people using more strategies. Both embarrassment and the number of strategies used decrease with age and experience. It appears that embarrassment associated with condoms remains a barrier to condom acquisition and consistent condom use, particularly among young adult populations. Coping strategies help individuals to bridge the gap between embarrassment and use.     

Coping with long-term unemployment

As very little research has focused on the experiences of long-term unemployed people, 38 females and males attending a Skillshare were invited to complete a short survey and participate in an in-depth interview. Both of these research methods were designed to provide information on the experience of this group with respect to how people who have been experiencing unemployment for over one year cope. GHQ cut-off scores and qualitative responses converged on the notion that this sample should be considered as two discrete groups: those who were coping relatively effectively with unemployment and those who were not. Coping themes identified in the group associated with negative well-being included keeping busy, emotional release, and withdrawal. These coping processes were generally viewed as transient and ineffectual. Conversely, coping strategies of those associated with positive well-being could be grouped into four themes, including keeping busy, having a positive outlook, religious faith, and re-evaluating expectations. Research and practice implications are considered. © 1998 John Wiley & Sons, Ltd.     

Positive Approaches to Coping with the Challenges of Ageing: Research Priorities

This article identifies research priorities in respect of the social dimension of ageing. Three areas are explored; ageing in one's own community; ageing in another community as a consequence of migration and ageing in a residential community. Exemplar research studies, conducted by the authors (singly) are presented briefly and contextualised in the literature to reveal key research priorities. The determination of research priorities should take account of those aspects of social functioning that are associated with factors amenable to change. Key research priorities identified include the development of a better understanding of the importance of social networks; how these are created, maintained to promote the successful social ageing of individuals.     

A comparison of Guided Imaginal Coping and imaginal exposure in the treatment of panic disorder

The present study evaluated the efficacy of a new intervention, Guided Imaginal Coping (GIC), compared to imaginal exposure (IEX), and a waiting-list control (WLC) condition among 24 clinic outpatients meeting DSM-III-R criteria for panic disorder (PD) or PD with agoraphobia. GIC was the more consistently effective intervention, with individuals demonstrating significant improvement in frequency and severity of panic attacks (Pas) as well as significant reductions in physiological and subjective arousal to provocative imagery. Individuals in the IEX intervention demonstrated less consistent improvement on the dependent measures, while individuals in the WLC condition essentially remained unchanged. Both GIC and IEX were effective according to a composite measure of clinically significant improvement. However, only GIC was superior to the WLC condition when clinical improvement was defined as zero PAs at follow-up. These findings, while preliminary, suggest that GIC can be added to the armamentarium of effective approaches to treating PD.     

Coping with the stress of pastoral counseling

Using a stratified random sample of the three membership categories of the American Association of Pastoral Counselors, this study investigated the experience of stress, related to the pastoral counseling profession, among 143 pastoral counselors and 95 of their spouses. In addition, the study examined how pastoral counselors were coping with stress by evaluating self-reported functional and dysfunctional behaviors. The data indicated that pastoral counselors and their spouses did not report high levels of stress related to the pastoral counseling profession. However, significant differences were found by work setting and age for pastoral counselors regarding the level of stress experienced. The data also indicated that pastoral counselors reported using more functional stress reduction behaviors than dysfunctional stress reduction behaviors.